dc.contributor.author | Brattland, Heidi | |
dc.contributor.author | Koksvik, John Morten | |
dc.contributor.author | Burkeland, Olav | |
dc.contributor.author | Kløckner, Christian | |
dc.contributor.author | Lara Cabrera, Mariela Loreto | |
dc.contributor.author | Miller, Scott D. | |
dc.contributor.author | Wampold, Bruce E. | |
dc.contributor.author | Ryum, Truls | |
dc.contributor.author | Iversen, Valentina Cabral | |
dc.date.accessioned | 2019-12-16T14:19:57Z | |
dc.date.available | 2019-12-16T14:19:57Z | |
dc.date.created | 2019-06-12T08:33:14Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Journal of Counseling Psychology. 2019, 66 (2), 234-246. | nb_NO |
dc.identifier.issn | 0022-0167 | |
dc.identifier.uri | http://hdl.handle.net/11250/2633459 | |
dc.description.abstract | Little is known about the mechanisms through which routine outcome monitoring (ROM) influences psychotherapy outcomes. In this secondary analysis of data from a randomized clinical trial (Brattland et al., 2018), we investigated whether the working alliance mediated the effect of the Partners for Change Outcome Monitoring System (PCOMS), a ROM system that provides session-by-session feedback on clients’ well-being and the alliance. Adult individuals (N = 170) referred for hospital-based outpatient mental health treatment were randomized to individual psychotherapy either with the PCOMS ROM system, or without (treatment as usual [TAU]). Treatment was provided by the same therapists (N = 20) in both conditions. A multilevel mediation model was developed to test if there was a significant indirect effect of ROM on client impairment at posttreatment through the alliance at 2 months’ treatment controlled for first-session alliance. Alliance ratings increased more from session 1 to 2 months’ treatment in the ROM than TAU condition, and alliance increase was associated with less posttreatment impairment. A significant indirect effect of ROM on treatment outcomes through alliance increase (p = .043) explained an estimated 23.0% of the effect of ROM on outcomes. The results were consistent with a theory of the alliance as one mechanism through which ROM works. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | American Psychological Association | nb_NO |
dc.title | Does the working alliance mediate the effect of routine outcome monitoring (ROM) and alliance feedback on psychotherapy outcomes? A secondary analysis from a randomized clinical trial | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | publishedVersion | nb_NO |
dc.source.pagenumber | 234-246 | nb_NO |
dc.source.volume | 66 | nb_NO |
dc.source.journal | Journal of Counseling Psychology | nb_NO |
dc.source.issue | 2 | nb_NO |
dc.identifier.doi | 10.1037/cou0000320 | |
dc.identifier.cristin | 1704193 | |
dc.description.localcode | This article will not be available due to copyright restrictions (c) 2019 by American Psychological Association | nb_NO |
cristin.unitcode | 1920,24,0,0 | |
cristin.unitcode | 194,65,35,0 | |
cristin.unitcode | 194,67,40,0 | |
cristin.unitname | PH - Tiller distriktspsykiatriske senter | |
cristin.unitname | Institutt for psykisk helse | |
cristin.unitname | Institutt for psykologi | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |